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INDONESIA
Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia)
Published by Perkumpulan Obstetri dan Ginekologi Indonesia
ISSN : 23386401     EISSN : 23387335     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Public Health
The Indonesian Journal of Obstetrics and Gynecology is an official publication of the Indonesian Society of Obstetrics and Gynekology. INAJOG is published quarterly.
Arjuna Subject : -
Articles 8 Documents
 1 
Search results for , issue " Volume. 34. No. 2, April 2010" : 8 Documents clear
Clinical appearance and vaginal cytology of atrophic vaginitis in postmenopausal women Immanuel, Agnes Imelda
Indonesian Journal of Obstetrics and Gynecology Volume. 34. No. 2, April 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To find out atrophic vaginitis pattern in postmenopausal women based on clinical appearance and vaginal cytology. Method: Descriptive retrospective study with hypothesis cohort to find out clinical appearance and vaginal cytology of atrophic vaginitis based on distribution of estrogen effect (maturation value/ total maturation index) in post menopausal women in outpatient clinic of tertiary hospital in Manado, North Sulawesi. Result: There were 50 subjects met the inclusion criteria. Most of them are 55 to 59 years old, with length of menopausal period 6 to 20 years, and onset of menopause in 45 to 49 years old. Cytology study showed that atrophic vaginitis present in 66% patients. Clinical symptoms are ranging from vaginal dryness (10%), vaginal discharge (6%), and dyspareunia (20%). From clinical appearance we found 44% women had atrophic vaginitis based on vaginal secretion, 42% based on macroscopic surface/integrity of vaginal epithelium, 54% based on vaginal rugae and elasticity, and 42% based on vaginal color. However, 80% of all participants showed vaginal pH more than 7 and most of them categorized as having atrophic vaginitis. Conclusion: By using clinical appearance, we found 42% to 54% of menopausal women had atrophic vaginitis, while cytology study confirmed 66% having it. [Indones J Obstet Gynecol 2010; 34-2: 92-6] Keywords: clinical appearance, cytology, menopause, atrophic vaginitis
Efficacy of 600 μg Misoprostol compare to 400 μg Misoprostol orally for expulsion of conception mass on pregnancy failure under twenty two weeks of gestational age Rosa, Rahmedi
Indonesian Journal of Obstetrics and Gynecology Volume. 34. No. 2, April 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To evaluate the efficacy and adverse effect of misoprostol in pregnancy termination under 22 weeks of gestation with dosage 400 μg, in comparison to 600 μg. Method: The research was performed in Obstetric and Gynecology Division in Dr. Cipto Mangunkusumo General Hospital to 70 subjects which were chosen with consecutive sampling, divided into two groups with block randomization and double blind. Group A received 400 μg of misoprostol every 6 hours while group B received 600 μg of misoprostol every 6 hours for a maximum of 2 days. Each group was evaluated for the time it took to reach complete abortion and for the adverse effects, consisting of abdominal cramping, bleeding, vomiting, and diarrhea. Result: Success rate for termination with misoprostol 400 μg and 600 μg were 88.5% and 91.4%, with no statistical difference found (p=1.000). There was no difference in the time for reaching complete abortion between two dosages (p=0.701) with a mean of 22 ± 8 hours. Adverse effects were found more frequent and more severe in the group consuming 600 μg of misoprostol compared to the group receiving 400 μg of misoprostol. Conclusion: Four hundred micrograms of misoprostol every six hour is recommended for termination of pregnancy under 22 weeks of gestational age, without statistical difference in efficacy, but with lower adverse effects. [Indones J Obstet Gynecol 2010; 34-2: 59-63] Keywords: misoprostol, pregnancy failure, dosage, efficacy, adverse effect
Correlation between level of serum estrogen, c-telopeptide, and interleukin-6 in determining bone density in perimenopausal women Suparman, Eddy
Indonesian Journal of Obstetrics and Gynecology Volume. 34. No. 2, April 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To evaluate the role of estrogen as a menopausal biochemical marker to c-telopeptide (CTx) and IL-6 as a biochemical marker of mineral bone density in perimenopausal women. Method: This is an observational, cross-sectional study in perimenopausal women between 45 - 51 years old, who matched the inclusion and exclusion criteria such as no contraception was taken before, no specific disease that could affect the laboratory findings. Samples were taken from outpatients clinic of Prof Dr. R.D. Kandou hospital. The patients were gathered for blood samples collection. Blood samples were tested in laboratory. All data were collected and being processed statistically using Pearson correlation coefficient (SPSS version 16). Result: From 60 perimenopausal women (45 - 51 years old) sample, mean age was 47.98 ± 2.26 SD. Estrogen (estradiol) level: < 10 pg/ml, maximum 358 pg/ml, and mean 77.11 ± 86.2 SD. IL-6 level: minimum is 1.645 pg/ml, maximum 7.771 pg/ml, and mean 4.317 ± 2.112 SD. We found significant correlation between age and estrogen level (correlation level < 0.05) and CTx level (in level < 0.01). From regression curve, age has no significant correlation with IL-6 concentration. However, we found significant correlation between estradiol and CTx and IL-6 with respective correlation coefficient value of < 0.01. Likewise the correlation between CTx and IL- 6 showed significant statistically with the value of the correlation coefficient < 0,01. Conclusion: There is a significant correlation between estrogen, Il-6 and CTx. These variables play an important role in the occurrence of the physiological changes in the perimenopausal women. This study also showed the occurrence of a bone reabsorption process that was marked by the increase of CTx level in accordance with the increase in the age and the increase in the level of CTx together with the decline in the level of oestrogen. Therefore, prevention therapy of osteoporosis should begin in earlier age, before the further bone reabsorption take place. [Indones J Obstet Gynecol 2010; 34-2: 84-8] Keywords: c-telopeptide, bone mineral density, estrogen, interleukin- 6, perimenopause women
Knowledge and attitude of pregnant woman toward umbilical-cord-blood collection Djuwantono, Tono
Indonesian Journal of Obstetrics and Gynecology Volume. 34. No. 2, April 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: Stem cell technology from umbilical cord blood (UCB) has developed fast as health services. UCB could be used in many kinds of disease. Private UCB bank has been operated in many places all over Indonesia. There’s a need for research to evaluate the knowledge and attitude of pregnant woman towards the act of collecting UCB. Method: This is a cross-sectional study base on question-naire given to 163 pregnant women in three private hospitals in the Bandung City from September - November 2009. The result was analyzed with Rank-spearman correlation and Kruskal-Wallis chisquare. Result: Most respondent were 20 - 29 years old pregnant women (54.6%), with educational level of strata-1 (S-1) (41.1%), with monthly income within 5 - 10 million rupiah (35.6%). This is the second pregnancy or more (42.9%), with gestational age less than 24 weeks (61.3%) and variative obstetric history (59.5%). The average level of knowledge was poor and attitude scale was uncertain (3.4). There is a significant correlation between age (p = 0.008%; CI 95%), level of education (p = 0.0001; CI 95%) and knowledge. There is a significant correlation between gestational age and attitude (p = 0.003; CI 95%). Respondent’s level of knowledge also has a significant correlation with attitude (τs = 0.421; p = 0.0001; CI 95%). Conclusion: This study described the respondent’s poor knowledge will influence their attitudes toward UCB collection, so it is necessary for disseminating more information on UCB as an effort to get better research result on UCB. [Indones J Obstet Gynecol 2010; 34-2: 97-100] Keywords: knowledge level, attitudes, collecting UCB, pregnant woman, the Bandung city
Objective: There were only few studies about the characteristic of vaginal pH among contraception user in Indonesia. This study aimed to determine the effect of contraception on vaginal pH among Indonesian women. Method: This study is a cross-sectional study. The target population was Indonesian women aged 15 - 50 years. The samples consisted of 492 people. Based on the method of contraception, subjects were grouped into 4 groups, subjects with combination hormonal contraceptives, progestin onl Ocviyanti, Dwiana
Indonesian Journal of Obstetrics and Gynecology Volume. 34. No. 2, April 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.61 KB)

Abstract

Objective: There were only few studies about the characteristic of vaginal pH among contraception user in Indonesia. This study aimed to determine the effect of contraception on vaginal pH among Indonesian women. Method: This study is a cross-sectional study. The target population was Indonesian women aged 15 - 50 years. The samples consisted of 492 people. Based on the method of contraception, subjects were grouped into 4 groups, subjects with combination hormonal contraceptives, progestin only, condoms/IUDs, and subjects with no contraception or sterile. Vaginal acidity (pH) was examined by Dip- Stick (Merck®). Result: The average age was 30.9 ± 8.27. The methods of contraception the subjects used were combination hormonal contraception (18.0%), progestin-only (29.5%), condom/IUDs (5.1%) and no contraception/sterile (47.4%). Most subjects had vaginal pH
Effect of clomiphene citrate on the quality of cervical mucus in infertile women Jusuf, Elizabeth Catherine
Indonesian Journal of Obstetrics and Gynecology Volume. 34. No. 2, April 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To describe the effect of clomiphene citrate on the quality of cervical mucus in infertile women. Method: This study is a non-randomized clinical trial. The study was carried out at several education hospitals in Makassar from March 2008 to April 2009. The subjects of the study were infertile women who fulfilled the inclusion criteria with intervention study. The statistical analysis was performed using Wilcoxon Sign-ed Rank Test with α 5%. Result: There were 36 cases found, and most were in the range of 26 - 30 years old (38.9%), university level education (50%), civil servant (47.2%), normal nutritionals status (55.5%), regular menstruation cycle (94.4%), marriage length 1 - 5 years (52.8%), and previously treated (61.1%). There was a significant difference of the cervical mucus quality in the infertile women before and after the administration of clomiphene citrate which tend to become worse (p = 0.012). At previously CC-treated group, it was found that after the administration of clomiphene citrate, the quality of cervical mucus tend to be worse (100%). Conclusion: The administration of clomiphene citrate tends to have declining effect on cervical-mucus quality of infertile women. [Indones J Obstet Gynecol 2010; 34-2: 73-6] Keywords: clomiphene citrate, quality of cervical mucus, infertile women
Comparison of administration of estradiol valerat 1 mg and 2 mg to improve squamous epithel maturation of Pap Smear preparation on postmenopausal women Purnamaningsih, Ika Sri
Indonesian Journal of Obstetrics and Gynecology Volume. 34. No. 2, April 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To determine the most effective dose of estradiol valerat (daily oral administration of 1 mg or 2 mg for 14 days) to improve squamous epithel maturation of Pap Smear on postmenopausal women. Method: Seventy one postmenopausal women with atrophic Pap Smear were participated in this randomized double blind clinical trial. 35 subjects received estradiol valerat 1 mg and the other 36 subjects received estradiol valerat 2 mg. After daily oral administration of estradiol valerat for 14 days, second Pap Smear were performed to evaluate epithel maturation. The side effects were also evaluated in this study. Result: There were 5 subjects whom lost to follow up due to refused to perform second Pap Smear and 1 subject was drop out due to nausea. 65 subjects were included in final analysis. Estradiol valerat 2 mg was significantly more effective than estradiol valerat 1 mg in improving epithel maturation of Pap Smear preparation on postmenopausal women. There were no complain about nausea and vaginal bleeding. Leukorhea occurred more frequently in the 2 mg group. Conclusion: Daily oral administration of 2 mg estradiol valerat was more effective than estradiol valerat 1 mg in improving squamous epithel maturation of Pap Smear on postmenopausal women with minimal side effect (leukorhea). [Indones J Obstet Gynecol 2010; 34-2: 89-91] Keywords: Pap Smear, postmenopausal women, estradiol valerat, epithel maturation of Pap Smear
Behavior study about teenage pregnancy and related factors in female junior and senior high school students in Jakarta Tunggadewi, Shirley Anggraini
Indonesian Journal of Obstetrics and Gynecology Volume. 34. No. 2, April 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To get data about female teenage behavior in their sexual changes, unwanted teenage pregnancy and their negative consequences, contraception, and the relation between factors which are related to female teenage behavior. Method: Cross-sectional study at five Government Junior High Schools and five Government Senior High Schools in five regions in Jakarta. Two hundred female teenage respondents, aged between 11-17 years old, came from five Government Junior High Schools and five Government Senior High Schools in Jakarta who were picked by cluster random sampling, 20 students from each grade of school. The respondents were given questionnaires which have been validated before, and then we did scoring and statistical measurement with SPSS 13th version. Result: The respondents’ knowledge about their sexual organ changes and sexual behavior is moderate (46%), unwanted teenage pregnancy and their consequences is poor (79.5%), contraception is poor (62%) and scoring result of knowledge is poor (71%). Knowledge scoring among respondents aged between 11-14 years old is poor (85.9%), and also in age group 15-17 years old (60%). Respondents’ attitude about their sexual organ changes and sexual behavior is good (40.5%), unwanted teenage pregnancy and their consequences is good (42.5%), while contraception is poor (73.5%), and scoring result of attitude is poor (56.5%). Attitude scoring in age group 11-14 years old is poor (68.2%), and in group 15-17 years old is also poor (47.8%). Respondents’ behavior about their sexual organ changes and sexual behavior is poor (51%), unwanted teenage pregnancy and their consequences is good (66%), contraception is moderate (49%), and scoring result of behavior is moderate (49%). Attitude scoring age between 11-14 years old is moderate (55.3%), between 15-17 years old is moderate and poor (each 44.3%). The relation between behavior and the greatest impression of information source which is significant is from teacher/school (p=0.001). The relation between behavior and knowledge is only significant in age group 15-17 years old (p=0.014). There is significant relationship between behavior and attitude in age group 11-14 years old (p=0.013) and 15-17 years old (p=0.000). Determinant factor contributing to this behavior level is the information taken from their teacher/school (p=0.010). Conclusion: Respondents’ behavior about their sexual organ changes and sexual behavior is poor (51%), about unwanted teenage pregnancy and their consequences is good (66%), about contraception is moderate (49%) and scoring result of behavior is moderate (49%). Attitude scoring in age group 11- 14 years old is slightly better than in group 15-17 years old. [Indones J Obstet Gynecol 2010; 34-2: 51-8] Keywords: teenage pregnancy, unwanted pregnancy, sexual behavior, contraception

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